Data as of November 4, 2026
Metronidazole 375 mg Capsule
METRONIDAZOLE
Brand: Metronidazole
Acquisition price (NADAC) is as of October 21, 2026. Medicaid reimbursement figures are from 2024, the most recent year in CMS's published claims data. The two are not contemporaneous — treat any comparison as directional, not exact.
Price per fill
NADAC (acquisition)
$193.51/ fill$9.13 / EA
Cost Plus Drugs (retail)
$188.71/ fill$8.90 / EA
FUL
$197.17/ fill$9.30 / EA
AMP
$112.67/ fill$5.31 / EA
Medicaid FFS
$178.34/ fill
Medicaid MCO
$144.56/ fill
Sources: cms/nadac:price-ladder · costplusdrugs/price-list · cms/ful:generic-ceiling · cms/sdud. Cost Plus prices as of 2026-11-04
What's in the reimbursement
Ingredient cost (21.2 units/fill)$193.51
Dispensing fee & other (state-fixed, not margin)-$15.17
Total reimbursed per fill$178.34
The gap above stays roughly flat across drugs regardless of acquisition cost — that's the professional dispensing fee, a fixed per-fill amount the state pays every pharmacy, not a markup.
Medicaid volume backing this card: 5 fee-for-service states, 7 managed-care states.
Full methodology and source columns: /tools/drug-prices/methodology